Keratosis is a skin condition associated with excessive production of keratin. The disease manifests itself in the form of seals with dry coarse scales, which, as the disease progresses, cause painful sensations, cracks and bleeding appear, and as a result of infection, erosive phenomena.
The etiology of keratosis has not yet been fully understood, scientists continue to work to identify the causes of the pathology. The main reason is considered to be long-term exposure to external factors, as a result of which metabolic processes under the skin are disrupted, affecting the epidermis, dermis, blood vessels, sebaceous glands and melonocytes.
Factors contributing to the development of keratosis
There are many reasons that are considered the basis for a violation of the skin-fat balance and the appearance of keratosis. These include:
- hereditary predisposition;
- constant exposure to ultraviolet rays;
- the effect of chemicals;
- weak immunity;
- infectious diseases associated with impaired liver function:
- aging of the skin;
- endocrine disorders;
- period of menopause;
- carriers of AIDS;
- chemotherapy after removal of tumors;
- poor hygiene;
- wearing uncomfortable clothes and shoes;
- weak nervous system, etc.
As a rule, the disease develops in people over 50 years old, but in recent years, cases have been recorded in young people.
Clinical manifestations in the initial stages of keratosis may not be noticeable. These are small roughness and irregularities of brown or red color, located on different parts of the body. As the pathological process develops, the affected areas peel off, itching appears, and the hairline is disturbed.
Classification of keratosis
Depending on the etiology, congenital and acquired keratosis are distinguished. In the first case, there is a hereditary factor, in the second - endogenous and exogenous factors. Depending on the localization, diffuse keratosis is distinguished (large areas of the body are affected) and local (isolated areas are infected).
Depending on the clinical manifestations, keratosis is distinguished:
- follicular;
- warty;
- diffuse;
- hyperkeratosis of the feet;
- lenticular;
- disseminated;
- seborrheic;
- polymorphic.
Follicular keratosis
The follicular form is most often observed in the area of the knees, thighs (from the outside), elbows and buttocks. Due to the pathological process of the mouth, the follicles are filled with scales of the epidermis (dead cells that have separated from the upper layer of the skin), aseptic inflammation develops, which manifests itself in the form of bright red tubercles (goose bumps). Follicular keratosis is most often observed in the abdomen, shoulders, neck, armpits, develops, as a rule, in the cold season. In the summer, the signs of the disease disappear.
Seborrheic keratosis
This form of keratosis is manifested by formations in the form of plaques or nodes with a warty surface. The plaques are covered with a keratinized substance of brown or black color. This form is also called senile, as it is observed in persons over 50 years old. The plaques are localized in the face, neck and chest. Not on the soles and palms. In most cases, the disease becomes chronic with exacerbations and remission. Seborrheic keratosis formations never develop into a malignant tumor, but sometimes the tumor can be disguised as keratosis. Therefore, a biopsy is an important condition for diagnosis.
Actinic keratosis
This form of keratosis develops in open areas of the body. At the initial stage, rough skin irregularities are observed. Over time, they develop into a hardened, scaly patch in skin tones or brown. In some cases, the formations develop into growths that are localized in the face, neck and chest. Actinic keratosis requires timely treatment, otherwise the disease may develop into a malignant tumor.
Keratosis treatment
Treatment of keratosis is prescribed by a dermatologist. This is a long-term process that includes complex measures. Be sure to carry out drug therapy aimed at stopping the growth of keratosis formations and alleviating the patient's condition. But oral medications cannot completely cure the disease, so local therapy is also used (the use of various ointments, creams and applications containing urea).
From medications, Ureatop, Ureaderm, Keratosan and Akerat are used. Efudex cream, diclofenac gel, imiquimod and fluorouracil are effective as topical preparations. For keratosis of the head, special medicinal shampoos are used.
Inside, rithenoids are also prescribed, which slow down the growth of keratomas. And to increase immunity, vitamins of the B, A and C groups are prescribed. For a better result, physiotherapy procedures are carried out.
Treatment of keratosis with folk remedies
The people know many remedies that alleviate the condition of a patient with keratosis. But they have only a symptomatic effect, so they can be used in a complex of other therapeutic agents and only after consultation with a specialist.
The condition of the patient is greatly facilitated by grated raw potatoes, which are applied to the sore spot, covered with a clean gauze cloth and polyethylene from above. Leave for 40 minutes and wash off with warm water.
Calendula, which is included in the content of many ointments, has a good keratolytic effect. It softens rough areas well, has a calming effect. Dandelion juice and chamomile decoction are effective.
In the treatment of keratosis, birch tar is effective, which is sold in all pharmacies. It contains more than 10 thousand useful substances that have an anti-inflammatory and healing effect. The only downside is the unpleasant smell.
Radical treatments
In some cases, conservative treatment methods do not give the desired result, and the formations are removed. Radical methods are more often used for actinic keratosis, when there is a risk of plaque transformation into a malignant tumor.
Cryodestruction methods are used - the freezing of formations with liquid nitrogen, as well as radio wave removal, in which plaque is excised. The radical methods include electrocoagulation, the essence of the method is to cauterize problem areas with high-frequency electric current. For a point effect on the affected area, laser destruction is used.
Diet for keratosis
Nutritional adjustments are also necessary for patients with keratosis. It is worth including in the diet fruits (peaches, plums, strawberries, lemon, etc.) and vegetables (cauliflower, spinach, carrots), which contain a large amount of vitamins C and A. allergy-causing foods.
The prognosis of keratosis depends on the complexity of the form. It is important to consult a dermatologist in a timely manner. Do not self-medicate, an illiterate approach can only aggravate the situation.
In this article, we will tell the readers what it is - keratosis of the skin, we will give a photo of the disease, we will list the methods of treatment. It will be about a condition accompanied by keratinization and compaction of the stratum corneum. It is important to prevent the development of complications, contact specialists in a timely manner and carefully follow their recommendations, since pathology tends to grow rapidly, causing discomfort, pain, itching, erosive formations, bleeding cracks.
The main function of the skin is protective, therefore, our cover is more than any other part of the body exposed to a number of negative factors: mechanical, bacterial, chemical, etc. It is for this reason that the surface is regularly affected by diseases of various natures: infectious, viral. The passion for strong tanning and visiting a solarium have a bad effect on health. Poor exfoliation of the stratum corneum causes many different disorders.
Having found out what it is - keratosis of the skin, let's talk about the types and how medicine suggests treating pathology.
Classification
Doctors distinguish between several types:
- Follicular - a common and harmless condition of the integument, which is accompanied by light, hard, small irregularities. It can often be seen on the buttocks, shoulders, forearms, and thighs. When large areas are affected, redness and swelling occur. It is extremely rare to be found on the face.
- Actinic (solar) - most often diagnosed in white-skinned people with light eyes between the ages of thirty and forty. It is characterized by the formation of rough, brown or flesh spots, ranging in size from one to three millimeters. The main site of localization is the neck and head, sometimes it can appear in other areas (often in contact with ultraviolet rays). The disease can mutate into squamous cell carcinoma or basal cell carcinoma.
- Seborrheic - growths of a benign type, outwardly similar to ordinary warts. The neoplasms have a round, slightly convex shape. The diameter can be up to 25 millimeters. They are found in black as well as brown and beige. The localization of the appearance is not clearly defined, growths can appear on any area, regardless of exposure to sunlight. Most often, this type is manifested in the elderly.
Causes of skin keratosis
Among the causes, it is worth noting the accumulation of keratin, a solid protein that protects the cover from harmful substances and infection. It forms a scaly plug that blocks the opening of the hair follicle.
No one really knows exactly why this protein builds up. But it can happen in conjunction with genetic diseases or other conditions such as atopic dermatitis.
The main factor in the emergence of an actinic type of pathology is a long-term exposure to the integument of ultraviolet rays (tanning at hours when the sun is most active, excessive enthusiasm for a solarium).
The formation looks like a wart, but if the cause of the wart is the human papillomavirus, then the nature of the appearance of the seborrheic species has not been reliably established.
Acquired diseases include:
- professional - arises from exposure to the skin of chemical, physical and mechanical factors associated with the patient's work;
- symptomatic - provoked by functional disorders of the nervous and endocrine systems;
- infectious - against the background of vitamin deficiency (C, A, E) and venereal disorders (gonorrhea, HIV, syphilis);
- para-oncological - arises from the presence of malignant tumors in the body, usually localized on the soles and palms.
Symptoms and types of keratosis
The disease usually makes itself felt by the following signs: erosion of the integument, bleeding cracks, itching, pain syndromes, seals and tuberosity on the palms, soles, face and other parts of the body, peeling, keratinization of hair follicles. Each person's pathology manifests itself individually, therefore, only a doctor can recognize its type, severity and choose an effective therapeutic course, based on the results of research and analyzes.
Seborrheic
It is characterized by a variety of manifestations: the rash can look like a group of warts, disguise itself as skin cancer. Often itchy and irritated. There are four aspects to consider when determining:
- Texture: At first, small, rough spots, similar to bruises, then there is a gradual thickening and a warty surface develops. They can sometimes appear waxy and "stuck".
- Shape: usually round or oval.
- Color: Most are brown, but they can be yellow, black or white.
- Location: Commonly found on the scalp, shoulders, chest, abdomen, or back. Never found on the soles or palms. This type of skin keratosis often manifests itself on the face, especially in old age, and requires specialized gentle treatment.
Follicular
Usually, this type goes away on its own. Also, to improve the appearance, you can use a variety of cosmetic products. If scrubs and creams with a moisturizing effect are not suitable, the doctor may recommend the use of medicinal ointments and creams with the function of removing dead skin cells and restoring the skin. Typically, medicines for follicular keratosis include:
- retinoids - for moisturizing;
- lactic acid;
- alpha hydroxy acids.
Actinic
The spots that appear are usually accompanied by rapid growth, bleeding, ulceration, pain, redness, swelling.
A competent dermatologist, after making a diagnosis, decides how to properly cure this type of skin keratosis, and selects special medicinal gels or creams, for example:
- Diclofenac gel;
- cream "Imiquimod";
- 5-fluorouracil cream.
Diagnostics and treatment
Most often, the disease is determined during the period of a standard clinical examination. Patients may not be aware of the possible danger of the formed stain, hope that it will go away on its own. For the timely prevention of possible viral, infectious and oncological disorders, you should periodically undergo medical examinations.
You should urgently consult a doctor if the following occurs:
- a large number of neoplasms appear in a short period of time;
- the boundaries around growth are irregular or blurred;
- growths are irritated by clothing and bleed on;
- sores and cracks develop and do not heal;
- there is an abrupt color change, such as purple, reddish black, or blue.
- standard inspection of the integument;
- histology;
- biopsy.
Folk remedies
There are several methods with which you can get rid of uncomfortable symptoms and the pathology itself. Here is some of them:- Grate the peeled tubers on a fine grater, squeeze out the liquid a little. Apply the resulting gruel to a gauze bandage and apply to the sore spot for at least an hour. This kind of procedure must be repeated three days in a row.
- Onion husks should be poured with table vinegar. Cover the container and place in a dark place for at least 14 days. Strain the resulting vinegar-onion tincture and use for lotions. The duration of therapy can vary from 7 to 14 days. The first lotion is applied for half an hour, every day you need to gradually increase the duration of exposure to 3 hours.
- Aloe leaves should be cut lengthwise and applied to the affected areas, covered tightly with a gauze bandage and left for 8-10 hours. Then remove the bandage and treat the surface with salicylic alcohol. The course of treatment is unlimited.
- Fresh newspaper ash is applied to the skin. To achieve a visible effect, 4 procedures are usually sufficient.
- Decoctions and infusions of burdock leaves and flowers. Liquids are used both for washes and for baths and lotions.
- Butter and tar are mixed in equal proportions. The resulting ointment is applied overnight and covered with a bandage.
- Yeast dough. Apply the cake to the affected area for two hours, then remove and rinse the area thoroughly with clean water. Repeat the procedure daily for five to seven days.
- Undiluted vinegar in the form of lotions. Perform short-term lotions for six repetitions per day for a week.
- Saturation of the diet with cold-pressed oils: amaranth, sea buckthorn, nut oils: pine and walnut. Vitamins and minerals that make up the oils will help the cells to recover as quickly as possible. It is important to exclude animal fats, flour, sweet, fried, spicy foods from the diet.
Removal methods
The doctor, after analyzing the characteristics of the disease and the patient's body, deciding how to get rid of keratosis, may resort to surgical methods:
- Freezing with liquid nitrogen (cryosurgery). It prevents the formation of new formations, the dermis becomes smooth and clean. Doesn't hurt.
- Scraping the skin surface with a special instrument (curettage). Sometimes used in conjunction with cryosurgery to treat small or flat spots. The procedure can be carried out in conjunction with the following method - electrocoagulation.
- Electric shock. Electrocoagulation can be effective in removing seborrheic keratoses. The device can be used alone or in parallel with scraping. This procedure can leave scars if done incorrectly and is time consuming compared to other methods.
- Growth vaporization by laser (ablation). It is most commonly used to treat seborrheic varieties. In medical practice, different types of lasers are used depending on the type and stage of the disease.
Prevention
Actinic species can be reduced or stopped by using sunscreen and limiting sun exposure. For patients regularly exposed to ultraviolet rays (for example, working outdoors), it is recommended to wear sunscreen with a protection level (SPF) of 30 or more every day and try to hide the body from the sun as much as possible.
Other important preventive measures:
- protection from the effects of aggressive chemicals (for example, contained in household detergents);
- refusal from tanning salons;
- immunity support;
- proper nutrition to stimulate the regenerative abilities of the skin.
Health needs regular monitoring. Some formations that seem harmless can become cancerous. Therefore, it is dangerous to ignore any cover problems. Keratosis of the skin is a rather unpleasant dermatological disease that can appear at any age. At the same time, it delivers severe discomfort to the patient. Naturally, this pathology should be treated. This requires a mandatory visit to the doctor.
What is disease?
Keratosis of the skin is excessive keratinization of the epidermis. It can be localized in small areas of the body, or it can spread over a wide area. Neoplasms that appear on the skin of the face or scalp are most often not cancerous. However, this does not mean that you can forget about pathology. It is unpleasant both physiologically and aesthetically.
The neoplasm is very similar to a wart. However, whatever the cause of the disease, it signals that some not very good changes are taking place in the body. Therefore, it is imperative to undergo a thorough examination.
Reasons for the appearance of neoplasms
To date, it is not reliably known why keratosis of the skin appears. Only one thing can be said for sure: this pathology is not caused by a virus, therefore it is not contagious. However, some internal and external factors can contribute to its development. For example:
1. Age (senile keratosis of the scalp). Most often, symptoms are observed in people over 40 years of age.
2. Genetic predisposition.
3. Improper diet with the use of large amounts of animal fat.
4. Violation of metabolic processes in the human body.
5. Prolonged hypovitaminosis.
6. Frequent exposure of the skin to direct sunlight.
Symptoms
Now we should consider how keratosis of the skin manifests itself. Among the most obvious symptoms are the following:
1. The appearance of a small neoplasm. It is mostly hard and red or brown in color.
To prevent the disease from developing, spend less time in the open sun. The fact is that an excessive amount of ultraviolet radiation can contribute to the appearance of not only keratosis, but also oncological pathologies. If you go to the beach, use sunscreen first. Naturally, when working with chemicals or other substances not very beneficial to the skin, you should wear protective gloves or clothing.
These are all the main features of the presented disease. Monitor your health carefully!
Many patients of a dermatologist complain of quickly, within a few days, keratinization of the skin on the fingers. Since in the first period of the disease, most people try to eliminate this defect on their own, using warm baths and fatty creams for this, they only go to the doctor when deep painful cracks form on the skin. Hyperkeratosis is the generalized name for a whole group of diseases that cause this symptom, some of which are very serious. This disease is characterized by a violation of the work of the epidermis, an increase in a layer of dead cells and the formation of areas covered with a stratum corneum.
Causes of hyperkeratosis
Excessive proliferation of skin surface cells has many causes, both mechanical and pathological. Rough skin on the fingers is often seen in people whose professions involve daily pressure on these areas, such as shoemakers or guitarists. The areas of the skin that touch the strings become horny, forming a layer of cells and protecting the skin. Workers who are constantly dealing with tar, sand or tar suffer from excessive cell growth on the fingers and palms, and this is dangerous because the degeneration of such cells can cause a malignant skin disease.
Age-related changes in the hormonal background entail keratoderma: during menopause, skin layers form on the palms and fingers of some women, they are diffusely located, and have a grayish or yellowish color. Sometimes keratinization is covered with deep painful cracks. Senile seals, plaques on the hands usually do not bother their owners, but there is a risk of degeneration of such cells into cancerous ones.
Keratinous skin on the fingers of children and adolescents is a symptom of a serious illness, since keratoderma is most often caused by a gene mutation. The provoking factors can be various viral diseases, hormonal disruptions, a lack of vitamin A in the body, and the reason for the shortage can be both external and internal. Poor nutrition and diseases of the digestive system, cancer and metabolic disorders are the main reasons for the incomplete absorption of vitamin A, which in turn provokes keratosis.
The cause of the proliferation of epithelial cells is sometimes an allergic reaction to a cosmetic or washing powder. Excessive consumption of food allergens also causes the appearance of horny layers of cells.
Keratosis symptoms
First of all, a patient with keratoderma notices that he has rough skin on his fingers, and the means for softening the skin do not bring the expected result. Then, after a fairly long period of time, the cell layer becomes thick, the tissue underneath dies off, the edges of the stratum corneum acquire a purple hue. In the thickening itself, deep, painful, bleeding cracks form, the nails become bumpy, irregular in shape.
The symptoms of professional or mechanical keratosis, which is the body's response to local skin irritation, are much less pronounced. Constant pressure on the pads of the fingers leads to the formation of calluses, and then the skin coarsens, the surface cells of the epidermis die off, do not slough off, as a result of which keratinization occurs. Occupational keratosis can also be accompanied by the formation of cracks in the stratum corneum, but it is limited only to those areas of the skin that are periodically injured without spreading further.
Follicular keratosis is most often formed on the flexor surfaces of the limbs, but it can also be localized on the hands. The patient draws attention to the fact that the skin on the hands is in pimples, tough. Follicular keratosis, in addition to a cosmetic defect, does not annoy the patient, but can spread throughout the body. One of the reasons for the occurrence of this form of the disease is heredity: according to statistics, people whose parents had a history of follicular keratosis more often than others fall ill with it between the ages of fifteen and twenty-five.
Keratosis treatment
Keratoses associated with the professional activities of patients, with exposure to toxic substances, such as arsenic or tar, are difficult to treat until a person stops engaging in this type of activity. The disease can last for years, and go completely on its own when an employee leaves or changes profession.
At the first signs of unreasonable coarsening of the skin on the fingers, it is necessary to carefully adjust your diet, introduce vitamin complexes and an oil solution of vitamin A. Locally, thoroughly cleanse the skin on your hands every evening, lubricate the coarse areas with a nourishing cream with the addition of vitamin A. A good result is the use of gloves Spa Belle, they moisturize the skin, work softly and gently, releasing the emollient and beneficial components of the gel impregnation. You can buy silicone gloves in the online store.
If the symptoms of keratosis are severe enough, then you need to consult a doctor for a complete examination and identify the cause of the disease. It is possible that the keratinization of the skin is caused by a disease, and its treatment will help eliminate the unpleasant symptom. Topically applied ointments and creams containing healing and emollient components.
At any stage of the development of the disease in the inflammatory process, it is advisable to use ointments containing antibiotics and steroids. They are used in short courses to relieve inflammation, and then they use wound-healing drugs such as Panthenol or Solcoseryl, which enhance tissue regeneration. Trays with astringent herbal decoctions and compresses with plantain or aloe juice are also quite effective in the symptomatic treatment of keratoses.
Keratosis prevention
The main treatment for keratosis of any etiology is the prevention of the development of the disease. But since it is not known for certain what is the impetus for the onset of the disease, you just need to observe general hygiene, do not expose your hands to unbearable loads and take good care of them. Sagging skin on the hands, calluses and redness are a signal for immediate action: stopping any diet, taking vitamins A and E, and cosmetic procedures.
People whose professions involve the development of this disease, or who have had cases of this disease in their family, are advised to closely monitor their health, since keratosis, although it does not threaten a person's life, makes it sometimes unbearable. Keratinous skin reduces the sensitivity of the hands, interferes with delicate work, and cracks make any movement impossible due to extreme pain. The duration and, sometimes, the failure of the treatment of horny growths is a reason to think about measures to prevent an unpleasant disease.
Both adults and children are susceptible to keratosis , which manifests itself in the thickening of the epidermis. A skin disease can be caused by a number of external factors, and the methods of its treatment are individual in each case. It is important to accurately determine the form of pathology in order to understand its cause and prescribe competent treatment.
What it is
Under keratosis imply a whole group of dermatological pathologies that are not of a viral nature.
Under the influence of certain factors, the following changes begin to occur in a person:
- the skin becomes dry:
- single and multiple neoplasms appear in open areas:
- itching appears.
Acquired plantar keratosis: photo
Sometimes keratomas are found on the soles of the feet, scalp, in the genital area. The size and shape of neoplasms can be very diverse, their boundaries are delineated. Their color is usually pink, yellowish or brown, and the surface is rough with a thin film.
At an early stage, the disease does not bring serious concern, only the appearance is spoiled. As the keratomas grow, the person feels more and more unpleasant symptoms.
Senile keratosis of the skin: photo
If you try to remove the tumor, blood will come out. Over time, the film becomes denser and becomes covered with cracks, neoplasms rise more and more above the surface of the skin and acquire black or light blotches.
ICD-10 code
L 57.0- actinic keratosis.
L 11.0- acquired follicular keratosis.
L 85.1- acquired palmar-plantar keratosis.
L 85.2- point type of palmar-plantar keratosis.
L 82- seborrheic form.
L 87.0- follicular and parafollicular keratoses.
Causes of occurrence
It is not known exactly why keratosis of the skin appears.
In any case, it is not contagious and occurs as a result of exposure to certain factors:
- elderly age;
- genetic predisposition;
- a large amount of fat consumed;
- poor metabolism;
- lack of vitamins;
- prolonged exposure to UV rays;
- disorders of the nervous system;
- taking certain medications;
- disorders of the endocrine and immune systems;
- mechanical damage;
- contact with chemicals.
The following groups of persons are most susceptible to this disease:
- Immunocompromised people.
- Elderly men and women.
- Light-skinned people with red hair.
- Residents of hot countries.
Experts have figured out the link between cancer and keratosis. After all, neoplasms on the skin are benign and sometimes malignant in nature. It is possible to distinguish a keratoma from cancer only with the help of a histological examination.
The presence of many foci of the disease may indicate oncological pathologies of the internal organs. According to statistics, among 9 thousand people with keratoma, 10 percent have various types of skin cancer.
Views
Depending on the symptomatology, keratosis is divided into the following types:
- Symptomatic. It occurs against the background of other diseases, under the influence of negative environmental factors.
- Hereditary. It is formed due to a genetic predisposition and manifests itself immediately after birth or in childhood.
- Acquired. The exact reasons are not fully understood.
According to the degree of localization, two types of ailment are distinguished:
- Localized. It affects certain areas of the skin.
- Diffuse. Covers a large area of the skin.
The most common types of keratosis are the following:
Only an experienced dermatologist can determine this or that type of keratosis.
Treatment
Before treating keratosis, you should undergo the necessary examination and tests.
Diagnostic procedures include:
- Collecting anamnesis.
- Thorough physical examination.
- Biopsy (taking a small piece of education for microscopic examination).
Therapeutic measures are aimed at reducing the number of keratomas, their softening and exfoliation. For this, external agents are used:
Inside take vitamin and mineral complexes, immunomodulators and drugs to improve the speed of blood flow. It is forbidden to use scrubs, peels, and rub the skin with a hard washcloth.
As means of alternative medicine, various ointments and compresses with yeast, aloe, castor oil, propolis or potatoes are used. However, folk recipes can only be used as an additional method of therapy.
Video:
Solar type of keratosis is treated in the same way as other forms. The doctor selects the therapeutic method individually for each patient. It can be:
- Cryotherapy. Freezing the affected cells.
- Laser exposure. Burning out pathological tissues with a laser.
- Dermabrasion. Layer-by-layer skin resurfacing.
- Radio wave therapy. Evaporation of the neoplasm under local anesthesia.
- Electrocoagulation. Excision with an electric scalpel.
Before and after treatment: photo
Surgical intervention involves the use of a curette for scraping the affected tissue. A visible scar can form at the site of keratosis, therefore, keratosis of the facial skin, which can also be treated with an operation, is eliminated in other ways. The prognosis is favorable in most cases.
If keratosis is observed in a child, the famous TV doctor Komarovsky offers the following treatment:
- It is necessary to take baths with sea salt.
- It is necessary to use moisturizers and ointments.
- It is recommended to follow a diet.
A well-known children's doctor believes that roughness on the skin, which does not bother the child in any way, does not require radical treatment. Sometimes with age, they go away by themselves.
Video:
With the formation of keratomas, one cannot resort to self-medication. As a preventive measure, it is advised to periodically undergo an examination by a dermatologist, to be under the sun only at the permitted time and to moisturize the skin more often.
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